A member asked:

What is the cutoff number for starting meds for high triglycerides? husband has had high results for years - coming down but still elevated in 300s

3 doctors weighed in across 2 answers
Dr. Marc Jacobson MD. answered

Specializes in Pediatrics

It depends.: There are 2 reasons to be concerned about triglycerides: 1st when they get above 1000mg/dl the risk of acute pancreatitis is high so medication becomes a necessity. 2nd: when they are above 150 they cause atherosclerosis and are a marker for other risk factors: metabolic syndrome, obesity, diabetes, high blood pressure other lipid disorders. A comprehensive approach to the patient is needed.

Answered 10/23/2015

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Dr. David Lipkin answered

Specializes in Internal Medicine

See below: This is a complicated question. It really depends on his risk factors for coronary heart disease. There is no definite evidence that elevated triglycerides cause coronary disease. There is also no evidence that treating lipid abnormalities in a patient who is not very high risk, nor has established CAD, will prevent a heart attack. Fish oils(omega 3)lower triglycerides. See http://bit.ly/1NzU5fR

Answered 10/26/2015

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